Intestinal Obstruction

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Roughly 15% of acute abdominal pain cases presenting to emergency department are of intestinal obstruction. Manifestation of intestinal obstruction can vary from fairly suitable appearance with mild abdominal pain and distension to a state of hypovolemia or septic shock (or each) requiring an emergency operation. Despite the fact that the mortality due to intestinal obstruction is reduced with higher information of pathophysiology, development in diagnostic techniques, fluid and electrolyte correction, potent anti-microbials and surgical control, nonetheless mortality ranges from 3% for simple obstruction to as high as 30% whilst there's vascular compromise or perforation of the obstructed bowel. That is further influenced by way of the medical…show more content…
Due to emesis there is dyselectrolemia and dehydration leading to metabolic alkalosis. Apart from derangements in fluid and electrolyte balance, stasis in the intestines promotes intestinal microbial growth, which may also cause the occurance of feculent emesis. In addition to this, overgrowth of intestinal flora in the small bowel results in translocation of bacterias across the bowel wall. Luminal pressure increase due to ongoing dilatation of the gut. When luminal pressure exceeds the venous pressure, lack of venous drainage reasons growing edema and hyperemia of the bowel. This will in the end lead to undermined arterial flow to the bowel, inflicting ischemia, then necrosis and perforation.[4,5] In patients with symptomatology of intestinal obstruction, radiology has a crucial role in initial assessment. Reliance on upright abdomen x-ray and ultrasound abdomen is immense in these cases. CT scans provide a lot of information and add to our knowledge of preoperative diagnosis which further helps in management. Radiological findings have a profound impact on the preoperative prognosis, plan of treatment and expenses of
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